Reader Questions:
Q9967 Pay Goes to Entity Bearing Cost
Published on Wed Sep 22, 2010
Question: I saw a list of top reported codes for cardiology. Number two was Q9967. Should I be reporting Q9967 for services performed in a hospital setting?New Jersey SubscriberAnswer: If you're coding for the cardiologist, not the hospital, you should not report Q9967 (Low osmolar contrast material,300- 399 mg/ml iodine concentration, per ml). The hospital provides the contrast, so the hospital will be the one to claim reimbursement for the LOCM supply.In contrast: When your practice bears the cost of the LOCM, you should choose the appropriate code based on the strength or quantity of iodine (mg) in each milliliter (ml) injected: Q9965 -- Low osmolar contrast material; 100-199 mg/ml iodine concentration, per mlQ9966 -- ... 200-299 mg/ml iodine concentration, per ml Q9967 -- ... 300-399 mg/ml iodine concentration, per ml.For example, the "300" in the LOCM sold as Omnipaque 300 refers to 300 mg/ml. That means that the appropriate code for Omnipaque [...]